Carolyn Joanne Bohnen, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00000977 Issued in WA

Practice address

125 East Main Street
Suite 203
Monroe, WA 98272

Phone

(360) 794-4830

Fax

(360) 793-6737

NPI assigned

Aug 14, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1851304554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST MAIN STREET",
            "address_2": "SUITE 203",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-4830",
            "fax_number": "360-793-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST MAIN STREET",
            "address_2": "SUITE 203",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-4830",
            "fax_number": "360-793-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNEN",
        "first_name": "CAROLYN",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Monroe, WA
• Providers in Monroe, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.